| NPI | 1518119577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAI LING CHAN Director 623-521-0571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP5051) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |